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Proximal Hamstring Injuries
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See Degen[1] for a review of chronic insertional tendinopathy, partial-thickness hamstring tears, and complete hamstring avulsions, and Goom[2] for a comprehensive review of hamstring tendinopathy
Differential Diagnosis of Proximal and Distal Posterior Thigh Pain
Differential Diagnosis
Proximal thigh
- Soft tissue causes
- Hamstring sprain
- Hamstring Tendinopathy
- Adductor sprain
- Semimembranous or ischiogluteal bursitis
- Ischiofemoral impingement
- Referred pain
- Referred lumbar spine pain
- Sacroiliac joint dysfunction
- Neurological
- "Hamstring syndrome"
- Nerve entrapment of posterior cutaneous or sciatic nerves
- Fractures
- Femoral neck or shaft stress fracture
- Posterior pubic or ischial ramus stress fracture
- Ischial tuberosity apophysitis/avulsion fracture
- Posterior thigh compartment syndrome
- Myositis ossificans of the hamstring muscle
- Pelvic bone tumours
- Iliac artery endofibrosis
- Apophysitis or avulsion in adolescents
Distal thigh
- DVT
- Meniscal injury
- Gastrocnemius injury
- Popliteus injury
- Popliteal artery entrapment syndrome
- Popliteal cyst
References
- ↑ Degen. Proximal Hamstring Injuries: Management of Tendinopathy and Avulsion Injuries. Current reviews in musculoskeletal medicine 2019. 12:138-146. PMID: 30806898. DOI. Full Text.
- ↑ Goom et al.. Proximal Hamstring Tendinopathy: Clinical Aspects of Assessment and Management. The Journal of orthopaedic and sports physical therapy 2016. 46:483-93. PMID: 27084841. DOI.
